ICD-10 Code A74.89 | Other chlamydial diseases Symptoms, Diagnosis, Billing

Other chlamydial diseases encompass a range of infections caused by the bacterium Chlamydia trachomatis, which are not classified under more specific chlamydial conditions. These diseases can lead to significant morbidity if left untreated, affecting reproductive health and increasing the risk of complications. The ICD-10 Code A74.89 facilitates accurate diagnosis, documentation, and billing, ensuring proper tracking of these infections for public health reporting and clinical management.

What is ICD-10 Code A74.89 for Other chlamydial diseases?

ICD-10 Code A74.89 represents Other chlamydial diseases, which include various infections caused by Chlamydia trachomatis that do not fall under specific categories. This code should be used when documenting cases of chlamydial infections that present atypically or are not classified elsewhere. Accurate coding is essential for effective clinical documentation and billing, ensuring appropriate treatment and follow-up.

ICD-10 Code A74.89 – Clinical Definition and Explanation of Other chlamydial diseases

Other chlamydial diseases are caused by Chlamydia trachomatis, which can lead to various clinical manifestations, including pelvic inflammatory disease and urethritis. These infections may progress silently, resulting in severe complications if not addressed promptly. Medical attention is crucial for diagnosis and treatment to prevent long-term health issues.

Key Clinical Features:

• Asymptomatic in many cases, leading to delayed diagnosis.
• Potential for serious complications such as infertility or chronic pelvic pain.
• Commonly associated with other sexually transmitted infections.
• Increased prevalence in sexually active young adults.

ICD-10 Code A74.89 for Other chlamydial diseases – SOAP Notes & Clinical Use

ICD-10 Code A74.89 is utilized in SOAP notes to document the presence of Other chlamydial diseases, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code A74.89 for Other chlamydial diseases Mean in SOAP Notes?

In SOAP notes, ICD-10 Code A74.89 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code A74.89 – Other chlamydial diseases

Prompt treatment of Other chlamydial diseases is essential to prevent complications. Antibiotic therapy is the primary treatment approach, and appropriate management strategies are crucial.

Antibiotic Therapy:

• Azithromycin 1 g orally in a single dose or Doxycycline 100 mg orally twice daily for 7 days.
• Alternative: Erythromycin or Levofloxacin for patients with allergies.

Supportive Care:

• Pain management with NSAIDs as needed.
• Patient education on safe sexual practices to prevent reinfection.

Infection Control:

• Encourage testing and treatment of sexual partners.
• Implement safe sex practices to reduce transmission risk.

How to Document Symptoms of Other chlamydial diseases (ICD-10 A74.89) in SOAP Notes

Subjective:

• Patient reports pelvic pain and abnormal discharge.
• History of unprotected sexual intercourse.
• No previous diagnosis of chlamydia or other STIs.

Objective:

• Pelvic examination reveals cervical tenderness.
• Laboratory tests show positive chlamydia culture.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing Other chlamydial diseases (ICD-10 Code A74.89)

Assessment:

• Diagnosis: Other chlamydial diseases, moderate severity.
• ICD-10 Code: A74.89.
• Contributing factors: Recent unprotected sexual activity.

Plan:

• Initiate antibiotic therapy as per guidelines.
• Educate patient on safe sexual practices and the importance of partner treatment.
• Schedule follow-up in one week to reassess symptoms.

Treatment & Plan Section for ICD-10 Code A74.89 – Other chlamydial diseases

• First-line treatment with Azithromycin or Doxycycline.
• Patient education on STI prevention and safe sex practices.
• Follow-up appointment to monitor treatment response.
• Consider testing for other STIs.

Using ICD-10 Code A74.89 for Other chlamydial diseases in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use A74.89 for cases not fitting other chlamydial classifications.
• Align treatment plans with clinical guidelines for justified billing.
• Include relevant CPT codes for laboratory tests and consultations.

Related ICD-10 Codes Often Used with Other chlamydial diseases

• A74.81 – Chlamydial cervicitis
• A74.82 – Chlamydial pelvic inflammatory disease
• A74.83 – Chlamydial urethritis
• A74.84 – Chlamydial conjunctivitis

ICD-10 Code A74.89 in Medical Billing and Insurance for Other chlamydial diseases

ICD-10 Code A74.89 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis.
• Use A74.89 in conjunction with specific CPT codes for laboratory tests.
• Ensure compliance with payer requirements for documentation.

Common CPT Pairings: